NPI | 1215335922 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9358699) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: KY 3009098) |
367A00000X Advanced Practice Midwife (Licence: FL ARNP9358699) | |
Enumeration Date | 2014-12-11 |
Last Update Date | 2022-11-22 |